[1]郑 立△.Lichtenstein与Modified Kugel修补术治疗腹股沟疝[J].郑州大学学报(医学版),2015,(05):700-702.
 Lichtenstein and Modified Kugel repair in treatment of inguinal hernia.Lichtenstein and Modified Kugel repair in treatment of inguinal hernia[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2015,(05):700-702.
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Lichtenstein与Modified Kugel修补术治疗腹股沟疝()
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2015年05期
页码:
700-702
栏目:
应用研究
出版日期:
2015-09-20

文章信息/Info

Title:
Lichtenstein and Modified Kugel repair in treatment of inguinal hernia
作者:
郑 立
河南大学淮河医院普通外科 开封 475000
Author(s):
Lichtenstein and Modified Kugel repair in treatment of inguinal hernia
Department of General Surgery,Huaihe Hospital,Henan University,Kaifeng 475000
关键词:
腹股沟 疝修补术
Keywords:
herniainguinal herniorrhaphy
分类号:
R656.2
文献标志码:
A
摘要:
目的:探讨腹股沟疝的Lichtenstein和Modified Kugel修补术治疗的效果。方法:腹股沟疝患者320例,其中采用 Lichtenstein修补术172例,采用Modified Kugel 修补术148例,观察两组患者平均手术时间、阴囊/会阴水肿发生率、补片感染率、术后复发率及切口不适及异物感发生率。结果:Modified Kugel修补术组术后复发率(0.7%)低于Lichtenstein修补术组(5.2%)(χ2校正=4.055,P=0.044); 其中ⅢB型、Ⅳ型Modified Kugel修补术组复发率低于Lichtenstein修补术组(χ2=4.911,P=0.036和0.034)。结论:建议ⅢB型、Ⅳ型腹股沟疝患者选用Modified Kugel修补术。
Abstract:
Aim: To compare the efficacy of Lichtenstein repair and Modified Kugel repair in the retrospective clinical study.Methods: Clinical data of 320 cases of inguinal hernia repair including 148 cases with Modified Kugel repair and 172 cases with Lichtenstein repair were reviewed.Operation time, mesh infection and hematoma of scrotum, recurrence rate, and the occurrence rate of foreign body sensation were compared.Results: Modified Kugel repair had similar clinical effects and learning difficulty with Lichtenstein repair in inguinal hernia.Recurrence rate of Modified Kugel repair group was lower than that of ⅢB,Ⅳ type in Lichtenstein repair group(χ2校正=4.055,P=0.044). Recurrence rate of Modified Kugel ⅢB、Ⅳtype operation group caused less compared with Lichtenstein group(χ2=4.911,P=0.036 and 0.034).Conclusion: Modified Kugel repair is a better option, especially for those patients with ⅢB,Ⅳ type inguinal hernia.

参考文献/References:

[1] Novitsky YW,Harrell AG,Hope WW,et al.Meshes in hernia repair[J].Surg Technol Int,2007,16:123
[2] Kurzer M,Belsham PA,Kark AE.The Lichtenste in repair for groin hernias[J].Surg Clin North Am,2003,83(5):1099
[3] Kugel RD.Minimally invasive, nonlaparoscopic, preperitoneal, and sutureless, inguinal herniorrhaphy[J].Am J Surg,1999,178(4):298
[4] Zib M,Gani J.Inguinal hernia repair: where to next?[J].ANZ J Surg,2002,72(8):573
[5] Simons MP,Aufenacker T,Bay-Nielsen M,et al.European Hernia Society guidelines on the treatment of inguinal hernia in adult patients[J].Hernia,2009,13(4):343
[6] Li JW,Xin W,Feng XY.Comparison of open and laparoscopic of groin hernia[J].Surg Endosc,2013,27(12):4702
[7] Stephenson BM.Complications of open groin hernia repairs[J].Surg Clin North Am,2003,83(5):1255
[8] Suwa K,Nakajima S,Hanyu K,et al.Modified Kugel herniorrhaphy using standardized dissection technique of the preperitoneal space: long-term operative outcome in consecutive 340 patients with inguinal hernia[J].Hernia,2013,17(6):699

更新日期/Last Update: 1900-01-01